NPI 1043275969
Optum Infusion Services 100, INC.
Practice location
- Address
- 931 D Conklin Street, Farmingdale, NY 11735
- Phone
- (800) 346-6348
- Fax
- (866) 689-3569
Authorised official
- Name
- David Oberg
- Title
- Vp, Compliance
- Phone
- (499) 988-5893
Registered specialties (2)
Home Infusion Agency
Primary
Parenteral & Enteral Nutrition Supplies (DME)
Registry record
- NPI
- 1043275969
- Entity type
- Organization
- NPI issued
- 20 Apr 2006
- Record last updated
- 22 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.